Mindlab LLC
NPI #1295515765 in North Myrtle Beach, South Carolina
Provider Information
- NPI Number
- 1295515765
- Entity Type
- Organization
- Organization Name
- Mindlab LLC
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Oct 3, 2023
- Last Updated
- Oct 3, 2023
Practice Location
- Address
- 2423 HIGHWAY 17 S
- State
- South Carolina
- ZIP Code
- 29582-4343
- Phone
- (843) 321-5099
Authorized Official
- Name
- STACEY SHAW, APRN
- Title
- PMHNP/PARTNER
- Phone
- (843) 321-5099
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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